Active NPI
Eric J. Goode, PHYSICAL THERAPIST
- Contractor
- Nottingham, MD
National Provider Identifier
1972958650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 17378
- Practice address
- 4115 Glen Park Rd
Nottingham, MD 21236-1018 - Phone
- (727) 488-1534
- NPI assigned
- Apr 29, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 17378 | MD | Primary |
Addresses
Primary practice location
4115 Glen Park Rd
Nottingham, MD 21236-1018
Mailing address
9313 Seven Courts Dr
Nottingham, MD 21236-4761
Phone (727) 488-1534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1972958650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9313 SEVEN COURTS DR",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212364761",
"telephone_number": "727-488-1534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4115 GLEN PARK RD",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212361018",
"telephone_number": "727-488-1534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODE",
"first_name": "ERIC",
"middle_name": "J.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-29",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "MD",
"license": "17378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.